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Minnesota rates for HCPCS 69667

Repair Round Window Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.92 / $804.92 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.17 / $6,137.01 / $12,291.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.75 / $2,841.56 / $6,835.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.90 / $2,597.87 / $5,382.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.69 / $1,637.89 / $7,770.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00